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Organization

VIDA COLLECTIVE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANA R ELDRIDGE LPC (OWNER)
(501) 300-7456
Entity
Organization

Contact information

Practice address
420 E 21ST ST STE G, LITTLE ROCK, AR 72206-2350
(501) 300-7456
(501) 600-4811
Mailing address
420 E 21ST ST STE G, LITTLE ROCK, AR 72206-2350
(501) 300-7456
(501) 600-4811

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
Primary
104100000X
Social Worker
1041C0700X
Clinical Social Worker

Other

Enumeration date
06/18/2024
Last updated
03/13/2026
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